Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.71 / $988.00 / $5,868.00	Facility		$111.71	$988.00	$5,868.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.79 / $111.71 / $212.27	Professional		$69.79	$111.71	$212.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $215.85 / $215.85 / $215.85	Professional		$215.85	$215.85	$215.85
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,299.82 / $2,746.00 / $13,822.74	Facility		$2,299.82	$2,746.00	$13,822.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $116.06 / $159.55 / $237.75	Professional		$116.06	$159.55	$237.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $324.00 / $427.00 / $512.00	Facility		$324.00	$427.00	$512.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.91 / $135.79 / $228.24	Professional		$87.91	$135.79	$228.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $142.62 / $191.04 / $191.04	Professional		$142.62	$191.04	$191.04
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $555.73 / $2,095.17 / $4,234.70	Facility		$555.73	$2,095.17	$4,234.70
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $150.19 / $1,541.00 / $5,958.00	Facility		$150.19	$1,541.00	$5,958.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $132.84 / $274.08	Professional		$73.20	$132.84	$274.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $149.10 / $300.89	Professional		$4.00	$149.10	$300.89
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $270.00 / $427.00 / $655.00	Facility		$270.00	$427.00	$655.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $88.53 / $137.81 / $237.06	Professional		$88.53	$137.81	$237.06
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $78.48 / $82.48 / $126.89	Facility		$78.48	$82.48	$126.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $78.48 / $110.21 / $121.73	Professional		$78.48	$110.21	$121.73
United Facility/Professional Facility Modifier Low / Median / High Price $471.00 / $1,305.00 / $3,742.00	Facility		$471.00	$1,305.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $116.27 / $147.26 / $243.74	Professional		$116.27	$147.26	$243.74